男性性労働者: HIV感染と感染伝播の慣行,状況,脆弱性
Stefan David Baral1, M Reuel Friedman2, Scott Geibel3
1Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA.
Lancet (London, England)
|July 26, 2014
まとめ
男性のセックスワーカーは,汚名と犯罪化によりHIV感染のリスクが大きくなり,基本的保健サービスへのアクセスが制限されます. 対象を絞り,権利を主張するHIV予防とケアは,この恵まれない人口にとって極めて重要です.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 社会科学 社会科学とは
背景:
- 男性性労働者は,研究でしばしば見過ごされる多様なグローバル人口です.
- 既存の研究では,男性と性交する男性 (MSM) や女性セックスワーカーとグループ化されていることが多い.
- 男性性労働者の間でHIVの負担が持続するか,増加するかについての懸念が高まっています.
研究 の 目的:
- 男性セックスワーカーのユニークな課題とニーズを強調する.
- 彼らの実践と文脈に関する利用可能な情報が限られていることを強調するためです.
- この重要な集団のための専用のHIV予防,治療,ケアサービスを提唱する.
主な方法:
- 男性性労働者の集団に関する既存の証拠のレビュー.
- HIV感染と感染伝播に寄与する要因の分析.
- 健康へのアクセスに影響を与える構造的,社会的決定要因の検討.
主要な成果:
- 男性性労働者は,生物学的,行動的,構造的要因により,HIV/STIのリスクが高くなります.
- 犯罪化と断面的な汚名を加え,これらのリスクを悪化させ,サービスへのアクセスを妨げています.
- 複雑な性的ネットワークは,この集団の脆弱性に寄与する.
結論:
- 男性性労働者は,現在のHIVサービスで不足している重要な人口です.
- 専門的で,証拠に基づいた,人権を肯定するサービスは不可欠です.
- 男性性労働者の健康状態の改善は,公衆衛生と人権の両方に利益をもたらします.
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